2 years in and the magic is gone

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Jntsrgn

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I began pellets when I started having some ED issues with a baseline T of 350. During the first 2 cycles of pellets which went 4 months each, I felt like a superhero. I put on 20 pounds of lean muscle and could not be fatigued despite multiple workouts in the same day. Sex was to the point where my fiancé would beg me to just stop. I really thought I had found the fountain of youth. Cycle 3 and 4 of pellets were a let down as I started feeling fatigue and aches. I took matters into my own hands and stopped pellets which were also a cosmetic disaster and my nuts had shriveled. I am now on Test Cyp 60mg MWF and HCG 500 IU MWF. I take 0.5 Anastrazole once per week, Armour thyroid QD, Cialis 2.5mg QD, DHEA 50mg QD and the B vits. Nuts are back full with a normal sperm count.

Most recent labs:

Total T: 1814
Free T: 37.2
DHT: 115
DHEA: 592
Prolactin: 11.2
PSA: 1.5
IGF-1: 212
Est Sen: 55.2
SHBG: 37.4
TSH: 1.060
T3: 3.8
T4: 1.09

CBC and metabolic panel with lipids is perfect.

So why do I feel like shit? I think about sex all the time but the stamina is terrible and without Cialis I can't perform. Plus, were one 2.5mg Cialis would once give me rigid wood on demand for 3 days, I now need it daily. I have aches regularly and struggle at the gym. Sleep is dysfunctional at best.

I feel like a slave to TRT. I almost consider tapering off everything and gong back to my pre-TRT life.
 
Defy Medical TRT clinic doctor
You are taking care of everything...but are ignoring your neurotransmitters. Im fairly certain you have decreased dopamine receptor density, decreased dopamine receptor sensitivity and maybe decreased dopamine itself. You fried the receptors by taking full advantage of the initial libido boost and overstimulating the brain pleasure centres with too much sex and too many orgasms in too short of a space of time. Now you will feel a decreased interest in everything and low motivational drive which is probably worse than pre TRT. Same as post recreational drug "come down".

Wait it out roughly 2 weeks, abstain from all sex\porn\masturbation during that time, your brain will rebalance itself.
 
relative to your injections when was your blood drawn? I can tell that you did it wrong with how high your numbers are, not in the trough.
 
E
I began pellets when I started having some ED issues with a baseline T of 350. During the first 2 cycles of pellets which went 4 months each, I felt like a superhero. I put on 20 pounds of lean muscle and could not be fatigued despite multiple workouts in the same day. Sex was to the point where my fiancé would beg me to just stop. I really thought I had found the fountain of youth. Cycle 3 and 4 of pellets were a let down as I started feeling fatigue and aches. I took matters into my own hands and stopped pellets which were also a cosmetic disaster and my nuts had shriveled. I am now on Test Cyp 60mg MWF and HCG 500 IU MWF. I take 0.5 Anastrazole once per week, Armour thyroid QD, Cialis 2.5mg QD, DHEA 50mg QD and the B vits. Nuts are back full with a normal sperm count.

Most recent labs:

Total T: 1814
Free T: 37.2
DHT: 115
DHEA: 592
Prolactin: 11.2
PSA: 1.5
IGF-1: 212
Est Sen: 55.2
SHBG: 37.4
TSH: 1.060
T3: 3.8
T4: 1.09

CBC and metabolic panel with lipids is perfect.

So why do I feel like shit? I think about sex all the time but the stamina is terrible and without Cialis I can't perform. Plus, were one 2.5mg Cialis would once give me rigid wood on demand for 3 days, I now need it daily. I have aches regularly and struggle at the gym. Sleep is dysfunctional at best.

I feel like a slave to TRT. I almost consider tapering off everything and gong back to my pre-TRT life.

Estrogen is crushed.
 
I start having sexual issues if I’m using too much T. Any time I exceed 150 mgs per week, I start losing morning wood and start experiencing ED. Try dropping your dose from 180 mg to 135 mg or 150 mg.
 
Yo
At 55.2 how is it crushed?
I began pellets when I started having some ED issues with a baseline T of 350. During the first 2 cycles of pellets which went 4 months each, I felt like a superhero. I put on 20 pounds of lean muscle and could not be fatigued despite multiple workouts in the same day. Sex was to the point where my fiancé would beg me to just stop. I really thought I had found the fountain of youth. Cycle 3 and 4 of pellets were a let down as I started feeling fatigue and aches. I took matters into my own hands and stopped pellets which were also a cosmetic disaster and my nuts had shriveled. I am now on Test Cyp 60mg MWF and HCG 500 IU MWF. I take 0.5 Anastrazole once per week, Armour thyroid QD, Cialis 2.5mg QD, DHEA 50mg QD and the B vits. Nuts are back full with a normal sperm count.

Most recent labs:

Total T: 1814
Free T: 37.2
DHT: 115
DHEA: 592
Prolactin: 11.2
PSA: 1.5
IGF-1: 212
Est Sen: 55.2
SHBG: 37.4
TSH: 1.060
T3: 3.8
T4: 1.09

CBC and metabolic panel with lipids is perfect.

So why do I feel like shit? I think about sex all the time but the stamina is terrible and without Cialis I can't perform. Plus, were one 2.5mg Cialis would once give me rigid wood on demand for 3 days, I now need it daily. I have aches regularly and struggle at the gym. Sleep is dysfunctional at best.

I feel like a slave to TRT. I almost consider tapering off everything and gong back to my pre-TRT life.

Total and free testosterone are about 4x above a normal natural level. Estrogen is within an acceptable range for a natural and that is with the sensitive test.
 
You're taking a lot of medication: DHEA. Thyroid. Test. AI. HCG. Very possible you are overmedicated. When I bailed on the Thyroid treatment, DHEA, and AI and lowered my test dose, my T levels actually went up. My estrogen went down. And I felt the best I've ever felt. I feel great on just test + HCG.

What's your thyroid numbers before treatment? Where is your RT3 now? Lowering your T dose will help your Estrodial and may help to avoid another medication (ai).
 
I have considered that. I'm going to back down my Test to 40mg MWF and stop the AI then recheck labs in 3 months.

Excellent plan. You might want to consider dropping the hcg too, that is complicating things also. It is really only a periodic thing to keep your balls alive. Work out your t only protocol first.
 
Excellent plan. You might want to consider dropping the hcg too, that is complicating things also. It is really only a periodic thing to keep your balls alive. Work out your t only protocol first.
Without HCG I had shriveled balls and was azoospermic. There is no good guidance on frequency or dosing of HCG for "maintenance". Stopping completely seems ill advised.
 
Without HCG I had shriveled balls and was azoospermic. There is no good guidance on frequency or dosing of HCG for "maintenance". Stopping completely seems ill advised.

No shit. Your on trt. Balls shrinking and reduced semen volume is to be expected. Go ahead and continue the hcg then. Good luck dialling in.
 
You're taking a lot of medication: DHEA. Thyroid. Test. AI. HCG. Very possible you are overmedicated. When I bailed on the Thyroid treatment, DHEA, and AI and lowered my test dose, my T levels actually went up. My estrogen went down. And I felt the best I've ever felt. I feel great on just test + HCG.

What's your thyroid numbers before treatment? Where is your RT3 now? Lowering your T dose will help your Estrodial and may help to avoid another medication (ai).

Whats your current protocol, if you don’t mind me asking?
 
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